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ABSTRACT Menopausal hormone therapy should not be used for the primary or secondary prevention of coronary heart disease at the present time Evidence is insufficient to conclude that longterm estrogen therapy or hormone therapy use improves cardiovascular outcomes Nevertheless recent evidence sugg...

ABSTRACT Because of the growing importance of infectious disease prevention in the individual patient and the larger community it is vital that Fellows of the American College of Obstetricians and Gynecologists be prepared to navigate the practical and ethical challenges that come with vaccination...

ABSTRACT Pregnant women traditionally have been assigned priority in the allocation of prevention and treatment resources during outbreaks of influenza because of their increased risk of morbidity and mortality The Committee on Ethics of the American College of Obstetricians and Gynecologists expl...

ABSTRACT Müllerian agenesis occurs in 1 out of every 400010000 females The most common presentation of müllerian agenesis is congenital absence of the vagina uterus or both which also is referred to as müllerian aplasia MayerRokitanskyKüsterHauser syndrome or vaginal agenesis Satisfactory vaginal ...

ABSTRACT For certain medical conditions available data and expert opinion support optimal timing of delivery in the latepreterm or earlyterm period for improved neonatal and infant outcomes However for nonmedically indicated earlyterm deliveries such an improvement has not been demonstrated Morbid...

ABSTRACT The neonatal risks of late preterm 34 0736 67 weeks of gestation and earlyterm 37 0738 67 weeks of gestation births are well established However there are a number of maternal fetal and placental complications in which either a latepreterm or earlyterm delivery is warranted The timing of ...

ABSTRACT Cesarean delivery on maternal request is defined as a primary prelabor cesarean delivery on maternal request in the absence of any maternal or fetal indications Potential risks of cesarean delivery on maternal request include a longer maternal hospital stay an increased risk of respirator...

ABSTRACT Given demonstrated vaccine efficacy safety and the large potential for prevention of many infectious diseases among adults newborns and pregnant women obstetriciangynecologists should embrace immunizations as an integral part of their womens health care practice To provide direct examples...

ABSTRACT Initial evaluation of the patient with acute abnormal uterine bleeding should include a prompt assessment for signs of hypovolemia and potential hemodynamic instability After initial assessment and stabilization the etiologies of acute abnormal uterine bleeding should be classified using ...

ABSTRACT The development of menopausal symptoms and related disorders which lead women to seek prescriptions for postmenopausal estrogen therapy and hormone therapy is a common reason for a patient to visit her gynecologist but these therapies are associated with an increased risk of venous thromb...

ABSTRACT Numerous occurrences in the past decade have brought the issue of disaster preparedness and specifically hospital preparedness to the national forefront Much of the work in this area has focused on large hospital system preparedness for various disaster scenarios Many unique features of t...

ABSTRACT Reproductive and sexual coercion involves behavior intended to maintain power and control in a relationship related to reproductive health by someone who is was or wishes to be involved in an intimate or dating relationship with an adult or adolescent This behavior includes explicit attem...

ABSTRACT Fertility treatments have contributed significantly to the increase in multifetal pregnancies The first approach to the problem of multifetal pregnancies should be prevention and strategies to limit multifetal pregnancies especially highorder multifetal pregnancies should be practiced by ...

ABSTRACT Many US women are uninsured and face avoidable adverse obstetric and gynecologic health outcomes The Affordable Care Act requires an expansion of Medicaid that would increase the percentage of US women with health insurance with the anticipated benefit of improved health The 2012 Supreme ...

ABSTRACT Obstetriciangynecologists should recognize that being a defendant in a medical professional liability lawsuit can be one of lifes most stressful experiences Negative emotions in response to a lawsuit are normal and physicians may need help from family members peers or professionals to cop...

ABSTRACT Myelomeningocele the most severe form of spina bifida occurs in approximately 1 in 1500 births in the United States Fetuses in whom myelomeningocele is diagnosed typically are delivered at term and are treated in the early neonatal period A recent randomized controlled trial found that fe...

ABSTRACT In the United States more than one third of women are obese more than one half of pregnant women are overweight or obese and 8 of reproductiveaged women are extremely obese putting them at a greater risk of pregnancy complications Therefore preconception assessment and counseling are stro...

ABSTRACT The updated guidelines by the Institute of Medicine regarding gestational weight gain provide clinicians with a basis for practice Health care providers who care for pregnant women should determine a womans body mass index at the initial prenatal visit and counsel her regarding the benefi...

Abstract Military service is associated with unique risks to womens reproductive health As increasing numbers of women are serving in the military and a greater proportion of United States Veterans are women it is essential that obstetriciangynecologists are aware of and well prepared to address t...

ABSTRACT An accurate and effective tracking or reminder system is useful for the modern practice of obstetrics and gynecology Practices should not rely solely on the patient to complete all ordered studies and to follow up on health care provider recommendations Health care providers should encour...